Term
| quick list of epidermal growths: |
|
Definition
Wart
Corn
Seborrheic Keratosis
Skin Tag
Molluscum Contagiosum
Actinic Keratosis
Squamous Cell Carcinoma
Basal Cell Carcinoma
Uncommon epidermal growths:
- merkel cell carcinoma
- nevus sebaceous
- trichoepithelioma |
|
|
Term
| epidermal growths occur due to proliferation of ___ or __ cells. |
|
Definition
|
|
Term
| With epidermal growths ___ is usually prominent. ___ , __, or __ suggest cancer. |
|
Definition
- scaling
- bleeding, crusting, itching |
|
|
Term
| warts are caused by multiple ___ __. Treatments are nonspecific and destructive. |
|
Definition
|
|
Term
| warts are more common in __ __and __ __. Immunosuppressed are more prone to severe breakouts. |
|
Definition
| - healthy children and young adults |
|
|
Term
|
Definition
- common wart
- flat wart
- plantar wart
- condyloma acuminatum
- filiform |
|
|
Term
| scaling verrucous papules with interrupted skin lines and black puncta: |
|
Definition
|
|
Term
| warts do/do not interrupt skin lines? |
|
Definition
|
|
Term
| With warts the ___ is thickened with overlying ___. Vacuolated ___ are present in the ___ cell layer. |
|
Definition
- epidermis
- hyperkeratosis
- keratinocytes
- granular |
|
|
Term
| ___ is used a treatment for warts but it is ___ so do NOT apply it to extensive lesions or give it to __ women. |
|
Definition
- Podophyllin
- toxic
- NOT for pregnant women |
|
|
Term
| Podophyllin used to treat warts is a potent __ and ___ agent with caustic action. It is derived from ___ and roots of Podophyllum pellatum (mandrake, may apple). This directly affects epithelial cell ___, causing degeneration and arrest of mitosis. |
|
Definition
- cytotoxic and keratolytic
- derived from rhizomes
- metabolism |
|
|
Term
|
Definition
|
|
Term
| Corns are caused by ___ or ___. Corns do/do not interrupt skin lines. |
|
Definition
- friction or pressure
- do NOT
Corns will persist until friction/pressure is relieved. |
|
|
Term
| Corns do NOT interrupt skin lines. Warts DO interrupt skin lines. |
|
Definition
| you're such a wart, you interrupted me! |
|
|
Term
| Corns have a __ center and ___ skin lines. |
|
Definition
|
|
Term
|
Definition
- relieve friction and pressure
- paring down with a scalpel
- soften with salicylic acid plaster
- surgical correction of deformity |
|
|
Term
| Seborrheic keratosis is common in adults/kids? |
|
Definition
|
|
Term
| Tan-dark brown, well demarcated "stuck-on appearance": |
|
Definition
Seborrheic keratosis
WHEN IN DOUBT, BIOPSY TO RULE OUT MELANOMA |
|
|
Term
| Therapy for seborrheic keratosis? |
|
Definition
- cryotherapy with liquid nitrogen
- curettage
- shave biopsy or excision |
|
|
Term
| What is the course of seborrheic keratosis? |
|
Definition
| people tend to get more of them |
|
|
Term
| soft pedunculated papules: |
|
Definition
|
|
Term
|
Definition
- no therapy necessary
- large/necrotic ones should go to pathology
- snip off with scissors
- cryotherapy with liquid nitrogen |
|
|
Term
| ___ ___ is caused by the pox virus. This appears as umbilicated smooth papules. Use destructive treatment. |
|
Definition
|
|
Term
| Molluscum Contagiousum therapy: |
|
Definition
- Cryotherpay with liquid nitrogen
- Salicylic acid
- Cantharidin
- Curettage |
|
|
Term
| Actinic keratosis (AK) is ___ and can be prevented with ___ ___. |
|
Definition
- pre-cancerous
- sun protection
(Light skin and sun exposure may lead to actinic keratosis) |
|
|
Term
| Rough, scaling, ill marginated lesion that is often easier felt than seen? |
|
Definition
|
|
Term
| ___ AKs should be biopsied to rule out cancer. |
|
Definition
|
|
Term
| Actinic keratosis can develop into __ __ __. |
|
Definition
|
|
Term
| Actinic keratosis therapy: |
|
Definition
- sunscreen, hat, etc.
- cryotherapy with liquid nitrogen
- 5-Fluorouracil
- Diclofenac 3% bid x 3 months
- Imiquimod 5% cream |
|
|
Term
| Squamous cell Carcinoma is a malignancy of the ___ and has the potential to ___. SCC in situ is aka ___ ___. |
|
Definition
- keratinocytes
- metastasize
- Bowen's disease |
|
|
Term
| SCC arising in an AK has ___ metastatic potential. |
|
Definition
|
|
Term
| The second most common skin cancer that often occurs on the head, neck, or arms: |
|
Definition
Squamous Cell Carcinoma
(chronic ulcers should be biopsied to exclude malignancy) |
|
|
Term
| __ and __ SCC is more likely to metastasize. |
|
Definition
|
|
Term
|
Definition
- excision
- curettage and electrodesiccation
- Moh's micrographic surgery
- Radiation
- Cryotherapy |
|
|
Term
| ____ are neoplasms of the epithelium that are biologically benign, but histologically resemble a SCC. |
|
Definition
|
|
Term
| Nodule with a central keratin filled crater. These grow rapidly, but most involute within 6 months. |
|
Definition
|
|
Term
| Basal cell carcinoma is a malignancy of the __ __ __ that rarely metastasizes but can be locally destructive. List the 4 types of BCC. |
|
Definition
- epidermal basal cells
4 types:
- nodular
- pigmented
- superficial
- scaring |
|
|
Term
| The most common skin cancer, it rarely metastasizes: |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
- excision
- curettage and electrodessication
- Moh's micrographic surgery
- radiation
- cryotherapy
- topical 5-FU or Imiquimod |
|
|
Term
| Merkel cell carinoma is very rare, but more ___ than melanoma. It has a __ rate of local recurrence and metastsis. This usually presents as a solitary __ on the __ or __ of elderly persons. |
|
Definition
- deadly
- high
- solitary nodule
- head or neck |
|
|
Term
| A __ __ of __ is a hemartoma of sebaceous glands and other cutaneous structures that appears at birth and becomes ___. Tumors and/or __ can develop. These usually occur along a ___ __. Perform excision, but not until after __ b/c can come back bigger and worse if excised too early. |
|
Definition
- Nevus Sebaceous of Jadasson
- warty
- BCC
- hair line
- puberty
side note: this is uncommon |
|
|
Term
| ___ is a benign tumor of the hair follicle. This usually occurs on the __ and presents as single or multiple __ flesh colored papules. |
|
Definition
- Trichoepithelioma
- face
- firm |
|
|
Term
| Multiple trichoepitheliomas may result from an autosomal ___ condition known as ___ ___ disease. |
|
Definition
- dominant
- Brook-Spiegler |
|
|
Term
|
Definition
| multiple papillomavirus types |
|
|
